ATI LPN Exit Exam (2026 Updated Version) –
Complete Test Bank with Correct Answers and
Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident in long-term care has a stage 3 pressure injury on the
sacrum. The wound bed is red, moist, and without slough. The LPN is reinforcing the
RN’s plan of care during morning rounds.
Question: Which actions are appropriate for the LPN to implement? (Select all that
apply.)
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily
D. Report increased warmth around the wound to the RN
E. Massage reddened bony prominences
(Correct: A, B, D)
Rationale:
● Answer: A, B, D
, ● Why (LPN Scope 2026): LPNs perform ordered wound care, repositioning, and
observation for signs of infection; they must report changes to the RN.
● Errors: Daily measurement is RN/MD prerogative; massage is contraindicated
and outside scope.
Q002:
Type: Traditional
Scenario: A clinic LPN receives a call from a patient 3 days post-cholecystectomy who
says, “My incision is really red and there’s yellow stuff coming out.”
Question: What is the LPN’s best response?
Options:
A. “Apply an antibiotic ointment and call back tomorrow.”
B. “Come to the clinic this morning so we can assess the incision.”
C. “This is normal drainage—just keep the area clean.”
D. “Take an oral antibiotic until you see the doctor next week.”
(Correct: B)
Rationale:
● Answer: B
● Why (LPN Scope 2026): LPN cannot diagnose or treat infection; must have
RN/MD visualize wound.
● Errors: Telling patient to self-treat or reassuring without assessment exceeds
scope.
Q003:
Type: NGN - Drag-and-Drop
,Scenario: The LPN is assisting the RN to develop a teaching plan for a newly diagnosed
type 2 diabetic. Place the following topics in order of basic-to-complex sequence for the
first three teaching sessions.
Options:
1. How to draw up insulin
2. Signs of hypoglycemia
3. Relationship between food, activity, and blood sugar
(Correct Order: 2, 3, 1)
Rationale:
● Answer: 2 → 3 → 1
● Why (LPN Scope 2026): LPN reinforces teaching starting with safety recognition
(hypo signs), then concepts, then psychomotor skill.
● Errors: Starting with skill before recognition risks hypoglycemia episodes.
Q004:
Type: Traditional
Scenario: A child in a pediatric office receives an MMR vaccine. Five minutes later the
LPN notes facial swelling and hoarse voice.
Question: What should the LPN do first?
Options:
A. Record vital signs and continue observation
B. Administer epinephrine 0.5 mg IM per protocol and call for the RN/MD
C. Apply a cool compress to the face
D. Offer the child a drink of water
(Correct: B)
, Rationale:
● Answer: B
● Why (LPN Scope 2026): LPN can administer emergency medication per standing
order and must immediately alert RN/MD for anaphylaxis.
● Errors: Delaying epinephrine is life-threatening; comfort measures are secondary.
Q005:
Type: NGN - Bowtie
Scenario: An LPN in a skilled facility is caring for a client receiving enteral feeding via
PEG. The client’s BP is 100/60, RR 24, lungs with fine crackles, and the feeding residual
is 250 mL (previous 100 mL).
Question: Identify the cue, the immediate action, and the parameter to report to the RN.
Cue | Action | Report Parameter
Options:
A. Elevated residual | Stop feeding | Residual >200 mL and crackles
B. Low BP | Increase rate | BP <100 systolic
C. Rapid RR | Suction airway | Respirations >24
(Correct: A)
Rationale:
● Answer: A
● Why (LPN Scope 2026): High residual + respiratory signs suggest aspiration risk;
LPN stops feeding and reports data to RN for further assessment.
● Errors: Increasing feed or suctioning without evidence of obstruction is
inappropriate.
Complete Test Bank with Correct Answers and
Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident in long-term care has a stage 3 pressure injury on the
sacrum. The wound bed is red, moist, and without slough. The LPN is reinforcing the
RN’s plan of care during morning rounds.
Question: Which actions are appropriate for the LPN to implement? (Select all that
apply.)
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily
D. Report increased warmth around the wound to the RN
E. Massage reddened bony prominences
(Correct: A, B, D)
Rationale:
● Answer: A, B, D
, ● Why (LPN Scope 2026): LPNs perform ordered wound care, repositioning, and
observation for signs of infection; they must report changes to the RN.
● Errors: Daily measurement is RN/MD prerogative; massage is contraindicated
and outside scope.
Q002:
Type: Traditional
Scenario: A clinic LPN receives a call from a patient 3 days post-cholecystectomy who
says, “My incision is really red and there’s yellow stuff coming out.”
Question: What is the LPN’s best response?
Options:
A. “Apply an antibiotic ointment and call back tomorrow.”
B. “Come to the clinic this morning so we can assess the incision.”
C. “This is normal drainage—just keep the area clean.”
D. “Take an oral antibiotic until you see the doctor next week.”
(Correct: B)
Rationale:
● Answer: B
● Why (LPN Scope 2026): LPN cannot diagnose or treat infection; must have
RN/MD visualize wound.
● Errors: Telling patient to self-treat or reassuring without assessment exceeds
scope.
Q003:
Type: NGN - Drag-and-Drop
,Scenario: The LPN is assisting the RN to develop a teaching plan for a newly diagnosed
type 2 diabetic. Place the following topics in order of basic-to-complex sequence for the
first three teaching sessions.
Options:
1. How to draw up insulin
2. Signs of hypoglycemia
3. Relationship between food, activity, and blood sugar
(Correct Order: 2, 3, 1)
Rationale:
● Answer: 2 → 3 → 1
● Why (LPN Scope 2026): LPN reinforces teaching starting with safety recognition
(hypo signs), then concepts, then psychomotor skill.
● Errors: Starting with skill before recognition risks hypoglycemia episodes.
Q004:
Type: Traditional
Scenario: A child in a pediatric office receives an MMR vaccine. Five minutes later the
LPN notes facial swelling and hoarse voice.
Question: What should the LPN do first?
Options:
A. Record vital signs and continue observation
B. Administer epinephrine 0.5 mg IM per protocol and call for the RN/MD
C. Apply a cool compress to the face
D. Offer the child a drink of water
(Correct: B)
, Rationale:
● Answer: B
● Why (LPN Scope 2026): LPN can administer emergency medication per standing
order and must immediately alert RN/MD for anaphylaxis.
● Errors: Delaying epinephrine is life-threatening; comfort measures are secondary.
Q005:
Type: NGN - Bowtie
Scenario: An LPN in a skilled facility is caring for a client receiving enteral feeding via
PEG. The client’s BP is 100/60, RR 24, lungs with fine crackles, and the feeding residual
is 250 mL (previous 100 mL).
Question: Identify the cue, the immediate action, and the parameter to report to the RN.
Cue | Action | Report Parameter
Options:
A. Elevated residual | Stop feeding | Residual >200 mL and crackles
B. Low BP | Increase rate | BP <100 systolic
C. Rapid RR | Suction airway | Respirations >24
(Correct: A)
Rationale:
● Answer: A
● Why (LPN Scope 2026): High residual + respiratory signs suggest aspiration risk;
LPN stops feeding and reports data to RN for further assessment.
● Errors: Increasing feed or suctioning without evidence of obstruction is
inappropriate.
